A patient presents in the emergency department with a flushed and diaphoretic
appearance. The nurse suspects the patient is experiencing delirium.
Which additional observation supports the nurse's suspicion?
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Rambling speech
,The family of a client diagnosed with delirium asks what they can expect. Which
symptom should the nurse include in the response to thefamily? (Select all that
apply.)
A.
Manic behavior and flight of ideas
B.
Chest pain that radiates to the left arm
C.
Sudden loss of bothlong-term andshort-term memory
D.
Might look physicallyunwell; acute onset of irrational and repetitive behaviors
E.
Fluctuations in the intensity and level ofconsciousness, from drowsy to near
unconsciousness
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C, D, E
The healthcare provider has determined that a patient's delirium is being caused by
severe depression. The patient's family asks the nurse, "Is there a medication that can
help our parent?"
Which class of medications should the nurse list as being ordered to minimize the
patient's delirium?
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Selective serotonin reuptake inhibitors (SSRIs)
The wife of a patient who is diagnosed with delirium tells the nurse that her healthcare
provider suggested trying herbal supplements for her husband to ease the delirium.
, How should the nurse respond?
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"Actually, some studies have shown that melatonin may have a preventive
effect on delirium."
The nurse is examining the chart of a patient suspected of having delirium.
Which test provides the most information on mental status?
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Confusion Assessment Method (CAM) test
The spouse of a patient who is diagnosed with delirium expresses concern about how
to best deal with the patient's confusion. The nurse teaches the spouse about
nonpharmacologic interventions that may benefit the patient.
Which statement by the patient's spouse should concern the nurse?
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"Sometimes my spouse will refuse to eat for several days."
The nurse is caring for a patient who is diagnosed with delirium.
Which assessment finding indicates to the nurse that the patient's diagnosis is correct?
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appearance. The nurse suspects the patient is experiencing delirium.
Which additional observation supports the nurse's suspicion?
Give this one a try later!
Rambling speech
,The family of a client diagnosed with delirium asks what they can expect. Which
symptom should the nurse include in the response to thefamily? (Select all that
apply.)
A.
Manic behavior and flight of ideas
B.
Chest pain that radiates to the left arm
C.
Sudden loss of bothlong-term andshort-term memory
D.
Might look physicallyunwell; acute onset of irrational and repetitive behaviors
E.
Fluctuations in the intensity and level ofconsciousness, from drowsy to near
unconsciousness
Give this one a try later!
C, D, E
The healthcare provider has determined that a patient's delirium is being caused by
severe depression. The patient's family asks the nurse, "Is there a medication that can
help our parent?"
Which class of medications should the nurse list as being ordered to minimize the
patient's delirium?
Give this one a try later!
Selective serotonin reuptake inhibitors (SSRIs)
The wife of a patient who is diagnosed with delirium tells the nurse that her healthcare
provider suggested trying herbal supplements for her husband to ease the delirium.
, How should the nurse respond?
Give this one a try later!
"Actually, some studies have shown that melatonin may have a preventive
effect on delirium."
The nurse is examining the chart of a patient suspected of having delirium.
Which test provides the most information on mental status?
Give this one a try later!
Confusion Assessment Method (CAM) test
The spouse of a patient who is diagnosed with delirium expresses concern about how
to best deal with the patient's confusion. The nurse teaches the spouse about
nonpharmacologic interventions that may benefit the patient.
Which statement by the patient's spouse should concern the nurse?
Give this one a try later!
"Sometimes my spouse will refuse to eat for several days."
The nurse is caring for a patient who is diagnosed with delirium.
Which assessment finding indicates to the nurse that the patient's diagnosis is correct?
Give this one a try later!
